Provider Demographics
NPI:1902037229
Name:WESTER DRUG, LTC
Entity Type:Organization
Organization Name:WESTER DRUG, LTC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:L
Authorized Official - Last Name:GARVIN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CRC, CPHT
Authorized Official - Phone:563-299-3395
Mailing Address - Street 1:319 E 2ND ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:MUSCATINE
Mailing Address - State:IA
Mailing Address - Zip Code:52761-4150
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:319 E 2ND ST
Practice Address - Street 2:SUITE 104
Practice Address - City:MUSCATINE
Practice Address - State:IA
Practice Address - Zip Code:52761-4150
Practice Address - Country:US
Practice Address - Phone:563-299-3395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WESTER DRUG, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-08-04
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA13643336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy